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Ms. Mallory R Datz
Specialist in East Patchogue, New York
NPI 1659748143

Mallory R Datz is a Specialist based in East Patchogue, NY. Mallory R Datz practices in East Patchogue, NY. The NPI Number for Mallory R Datz is 1659748143 and holds a License No. 943033151 (New York).

The current practice location address for Mallory R Datz is 286 Munsell Rd, East Patchogue, NY and can be reached out via phone at 631-312-3770.

Location: 286 Munsell Rd, East Patchogue, NY, 11772-5616
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1659748143
Provider Name
Mallory R Datz
Credential
Provider Entity Type
Individual
Gender
Female
Address
286 Munsell Rd, East Patchogue, NY, 11772-5616
Phone Number
631-312-3770
Fax Number
Provider Enumeration Date
08/31/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
286 Munsell Rd
City
East Patchogue
State
New York
Zip
11772-5616
Phone Number
631-312-3770
Fax Number
person
Provider Business Mailing Address Details
Address
286 Munsell Rd
City
East Patchogue
State
New York
Zip
11772-5616
Phone Number
631-312-3770
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
943033151 (New York)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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